Data Warehouse Automation Conference - Tom Breur: Cycle time & Automation 20121120
Clinical Automation DIGITAL
Transcript of Clinical Automation DIGITAL
Clinical bacteriology automationClinical applications
Envisioning a Full microbiology Lab Automation.
Clinical bacteriology automation
Express your lab's full potential by automating your routine.
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We envision e�cient labs where the quality of results is sky-high. At
Copan, automation is the core of this dream. From the Greek αùτόµατος –
acting of itself, moving or acting on its own – automation etymological
sense is too limiting: even though our set of advanced AI and hardware
modules are in the service of the lab's daily tasks, your sta�, needs, and
rules are still at the center of every process.
What is automation?
Technology in service of people
Laboratory challenges
A demanding daily routine
Data – patient individual information, protocols, results from
previous analyses.
Processes – handle samples and reagents, aliquot,
transport, incubate and interpret data.
Decisions – lab management decisions and the diagnosis.
To keep these data, processes, and decisional inaccuracies as negligible as
possible and ensure a precise, reproducible diagnosis, laboratory sta� must
adopt time-consuming measures every day.
Automation is undoubtedly one of the most important
advancements that occurred in clinical laboratories over the past
decade. Its evolution, digital automation, o�ers now the
opportunity to connect multiple lab instruments, multiple
specialty labs, and even multiple labs scattered across the globe.
While providing significant long-term cost savings and sta�
requalification, automation enables improved e�ciency,
organization, standardization, and laboratory testing safety.
Laboratory automation is only a part of Copan's comprehensive
approach to preanalytics; our line of liquid-based microbiology
collection and transport systems can be paired with our
automation solutions, unlocking your lab's real potential
and accompanying you from sample collection to data
interpretation in a smoother and more e�cient way.
From sample collection to image analysis and automated colony picking
Our comprehensive approach to preanalytics
Each day, in every clinical laboratory, thousands of data and processes
intertwine with each other in constant cooperation, leading to
therapy-driving results. It is crucial to tackling this complex operational
weave in the most e�cient way possible, in all its parts:
Microbiology labs criticalities are the same as any other lab. In the same way, they can enormously benefit from FLA
implementation. According to a recent multicenter study4, Full Lab Automation can almost double microbiology labs'
productivity and halve the cost per specimen – regardless of the lab size, load, and location – reducing the median
turnaround time of 14 h (Figure 1)4.
FLA in microbiology
Get prepared for what's next!
Full Lab Automation enables a 24/7
processing and culture workup schedule, and
AI interpretative algorithms allow
technologists to review images in batch
mode for a more e�cient release of
significant cultures or interpret plates and
antibiotic sensitivity results in a flash.
Even if human and economic resources
decline in the future, incorporating these and
new tools will empower the microbiology
community – and your lab – to provide
high-quality results ever more rapidly.
Full laboratory Automation (FLA) combines into an integrated system the complete automatization of preanalytics, analytics,
and data interpretation, with minimal human intervention and many advantages. Automation performs repetitive tasks
rapidly and accurately, reducing process errors for unparalleled precision and reproducibility.
Also, machines never sleep, enabling laboratories to switch to a 24/7 schedule.
Can you imagine?
You could enter the lab in the morning with all the routines already performed autonomously during the night: more time for
you to focus on essential tasks and reduced time to results.
Labs worldwide – from large to small, low to high throughput, reference to hospital-based laboratories – are exploring or
deploying various degrees of FLA with unquestionable benefits – including error reduction – from clinical chemistry to
immunology and molecular biology1,2,3.
Full Laboratory Automation
A sleepless and accurate assistant
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Pre WASP® 2015
WASP® 2015
WASPLab®
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Figure 1: TAT frequency distribution with WASP® and Full Lab Automation
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We started our microbiology automation journey back in 2007 when it was still far from most people's thoughts.
Over these years, we built a preanalytical automation system that begins at the streaking phase and – combining hardware
modules with integrated image analysis software – takes care of streaking, reading, interpreting and picking activities: a real
Full Lab Automation4!
Copan approach to Full Lab Automation
From sample processing to image analysis
Innovation
New ideas, creativity, internal and external know-how are the
engine of our work. We strive every day to bring you
something unique.
Productivity
We believe in automatization as the solution to reduce time
to results and increase your lab's throughput.
Modularity
All our automation solutions are designed to be flexible and
meet any workflow, volume, or protocol need.
Quality
As volumes rise and the laboratory grows, our automation
systems are designed to boost the quality and level of service.
Traceability
When processing loads of samples per day, it is crucial to keep
everything under control. For this, we design our products to
integrate seamlessly with your LIS.
Valorization
The expertise, experience, and commitment of your sta� are
your most valuable assets. By automating routine tasks, we
aim to give value to your personnel by letting them focus on
tasks that matter, for them as for patients.
The WASPLab® world
The leading microbiology ecosystem
WASP-FLO™Moving microbiology
PhenoMATRIX®
and PhenoMATRIX® TAGMicrobiology brain
Colibrí™Precision microbiology
MIcrohub®
Precision microbiology
WASP®
Microbiology core
Radian®
WASPLab®
Digital microbiology
Automated AST
Copan Walk-Away Specimen Processor™ is a truly revolutionary instrument with more than ten years of continuous
evolution. WASP® provides a comprehensive and modular system, encompassing all aspects of automated
specimen processing as plate planting and streaking, microscope slide preparation, broth inoculation.
WASP®
The microbiology core
Reduces consumables, management, and
environmental costs
Modular and scalable, adapts to every workflow
Increases the quality of streaking, minimizing
human errors
Ensures traceability through labeling and reading
systems
Advantages
The microbiology core
Loads samples without interrupting the
instrument or disrupting the lab workflow
Sample entry conveyor
Automatically print and apply barcodes to plates,
broths, and microscope slides
Label printers
Decaps and recaps automatically sample tubes
Universal decapper [a]
Ensures the homogeneity of each sample
Onboard vortex
Guarantees full traceability of every sample
Smart barcode readerChecks the sample presence in the loop
Inoculation verification camera
Holds up to 370 plates into nine di�erent columns
Plate carousel
Avoids cross-contaminations and ensure a clean
and safe environment
Incinerator and hepa filter
Tech-based quality
Slide prep evo™
Slide smear, barcode laser
print, and slide dry out.
Pipettor module Customizable volume inoculations
and multiple broth management.
WASP® modules
Broth module Broth inoculation and
automatic tube labeling.
WASPLab® is the natural evolution of WASP® redefining the state-of-the-art of FLA. WASPLab® takes care of the
incubation and imaging of the plates, bringing the lab into the world of Digital Bacteriology. Before and during
the incubation, the unique WASPLab® vision system acquires high-quality digital images on which a technologist can
perform the reading phase.
Enhance reading performance, allowing lab technicians
to make the most accurate workup-decisions
Modular and scalable, adapts to every workflow
Standardizes optimal incubation conditions for better
and faster results5
Improves lab productivity and quality through the
automated specimen organization and easier
recognition of bacteria
Advantages
Digital microbiology
WASPLab®
Digital microbiology
Acquires 48 Megapixel plates images at
designated incubation times
Telecentric camera
Multiple combinations of light conditions to
maximize the image quality of di�erent media
plates
Lightning system
Arrange upside down plates in individual spots for
homogeneous incubation conditions and constant
traceability
Robotic plate handlers
Improves manual plate management, screening,
reading, and picking
WorkstationDesigned to be the main access-point to
WASPLab®, ensuring an easy and user-friendly
interaction
WebApp
Wide range of controlled atmosphere settings for
optimal bacterial growth
O2 and CO2 atmosphere
Incubate plates fitting the needs of laboratories of
all sizes
Single and double incubators
Tech-based quality
Image acquisition system [b] Modularity and scalability examples A sophisticated lighting and camera system acquires
the image of each plate clearly and accurately.
Radian® is the WASPLab® module dedicated to the full automation and interpretation of Disk Di�usion Antibiotic
Susceptibility Testing. It is composed of two modules:
Radian®
Automated AST
Applies EUCAST standard and rapid rules from
direct blood cultures[d] automatically
Enables early antibiotic therapy for the final benefit
of patients
Expresses the full potential of disk di�usion
susceptibility testing
Connecting Colibrì™, WASP®, WASPLab® , and Radian®:
a new workflow perfectly integrated
Advantages
Automated AST
Radian® In-Line Carousel is the new WASPLab®'s module that takes care of disk dispensation, ensuring optimal
integration and throughput.
Radian® Expert System leverages WASPLab®'s superior Digital Imaging and EUCAST rules to deliver an exceptional-
ly accurate SIR interpretation.
Rapid system advantages6
A fast time to result is crucial in the treatment of critical patients. We conceived a rapid direct AST (4h)
compliant with the new EUCAST protocols and available on Radian® for blood cultures[d]. The simultaneous
application of Rapid Rules to multiple types of samples will be available soon.
Radian® expert system
Radian® in-Line Carousel
Boosts the integration of AST tasks into your daily routine
Parallel redirection line
Ensures maximum exibility in the antibiotic choice
50 cartridge carousel
Before the disk deposition, a dedicated vision system assures
the ATB disk removal from the cartridge and the congruency
between the disk and the selected protocol.
Quality check
An extra safety layer protecting from dangerous samples
Dual hepa filtering system
Keep everything in sight while
working directly on the plate
Expert system hints
With direct communication
to the rules database
Halo-reading interface
Adapt or write from scratch
your own interpretation rules
Rule editor
Located on the conveyor between WASP® and WASPLab® first incubator, Radian® In-Line Carousel receives plates
dedicated to AST disk dispensing on a parallel conveyor without compromising the throughput of WASPLab®.
Radian® In-Line Carousel allows high disk dispensing flexibility thanks to its 50 positions ATB wheel and its 1 to 8 disk
deposit protocols, assuring high quality and standards by cartridge ATB disk removal check and ATB acronyms control.
A flexible, customizable, and user-friendly platform to interpret sensitive, intermediate, or resistant results.
Being connected with the WASPLab® WebApp Halo Recognition image analysis algorithm and communicating with
the lab LIS, Radian® Expert system is our fully integrated solution for AST automated interpretation in your lab.
PhenoMATRIX® uses artificial intelligence combined with clinical information from the LIS system to
automatically read, interpret, and segregate bacterial cultures with the click of a button. Adding PhenoMATRIX®
suite of algorithms to WASPLab® automation system eases the interpretation of patient results and gives microbiology
labs the ability to shorten their time to results7,8.
Custom expert rules for a tailored solution on your
laboratory standards
Sorts your plates images according to your rules and
LIS data
Breaks down the plate's key features thanks to its
advanced digital image analysis algorithms
Accelerates your interpretation through a clear plate
visualization
Advantages
PhenoMATRIX®
Microbiology brain
Microbiologybrain
All the results sorted using the custom filters are
sent to LIS with a single click
One- click result release [c]
Groups plates in a folder-style interface, based on
the laboratory rules
Custom filters
Summarizes all the plate results: negativity, isolate,
colony count, and workup
Results workup
Tech-based quality
PhenoMATRIX® directly sorts all images
based on the lab custom rules, combining
patient demographic data, clinical results, and
the output of image analysis algorithms.
The sorted images are subjected to the
technologist for final validation.
Complete set results
PhenoMATRIX™ TAG
Understanding the colonies' coordinates and morphology, PhenoMATRIX® TAG assigns the
proper workup for each colony, according to your rules[e]. PhenoMATRIX® TAG consequently
communicates to Colibrí™ to pick the most appropriate ones for each specific task.
PhenoMATRIX® PLUS will automatically
send all negative results to the LIS,
discarding media plates without
microbiologist validation.
This will drastically decrease the hands-on time
for negatives and speed up the time-to-result
for patients.
Autorelease concept [d]PhenoMATRIX®WASPLab®
Negative
PositiveAutorelease
Colibrí™ is a microbiology system that automatically picks
colonies previously selected by PhenoMATRIX® TAG or
by an operator on the WASPLab® reading station.
The instrument spots targets for microbial identification
through MALDI-TOF technology and prepares microbial
suspensions for Antibiotic Susceptibility Testing (AST).
Integrates data with IVD analyzers for seamless
traceability [a]
Maximizes the focus on higher-profile tasks
Ensures picking accuracy thanks to synchronized
vision systems
Advantages
Colibrí™
Precision microbiology
colony picking
colony picking
isolate data
AST tube preparation
Formic acid matrix deposition
turbidity check
target spotting
McFarlandsuspension tube
ID AST
Precision microbiology
Handles both colony picking and liquids transfer
with extreme precision [a]
Robotic pipettor
Holds up to sixteen target McFarland suspension
tubes and AST tubes for the preparation of the
microbial suspension [a]
Containers table
Checks the turbidity of the microbial suspension to
guarantee maximum precision and standardization
Nephelometer
Loads and unloads plates through seven
configurable stackers
Loading and unloading carousel
Controls the tip alignment and retrieves the colony
coordinates from WASPLab®, matching them for
accurate picking
Vision system
Automatically labels tubes and purity plates for
traceability and label reconciliation
Printer and barcode system
Tech-based quality
Accurate pipetting
Synchronization of nephelometer and pipettor
to maximize standardization and ensure the
highest precision.
Direct communication with WASPLab®
and PhenoMATRIX® TAG
WASPLab® WebApp highlights the isolated colonies
and the aggregated ones with di�erent colors.
PhenoMATRIX® TAG defines the optimal colonies to
be picked, communicating the coordinates with
Colibrí™ for a reliable picking.
Radian® compatible
Automated colony picking by Colibrì™ is
compatible with McFarland suspension tube
preparation prior to Automated Susceptibility
testing performed by Radian™.
WASP-FLO™ is the module we developed for microbiology
laboratories with multiple WASP® or WASPLab® lines, to
streamline sample loading and unloading. WASP-FLO™
automatically sorts samples[a], drives them to the appropriate
WASP®, and batches the tubes in output racks after processing.
Boosts your lab's productivity to
high-throughput levels
Thanks to the complete data management
system, it keeps under control the full path of
each sample.
Optimizes sample management through random
access and evaluation of the workload in real time
Sorts and route in and out samples to increase the
lab's e�ciency
Advantages
Wasp-flo™
Moving microbiology
Moving microbiology
Backup loading system for special containers
Graphical user interface
The Pick-and-Place robots sort tubes in RFID-driven pallets
and unload completed samples onto dedicated racks
Dual SCARA robots
Contains up to 600 samples per batch and sorts them
individually
Hopper module
Hosts 792 samples divided into eight output racks
Completed specimen output
Includes four columns composed of eleven RFID pallets
Manual specimen loading
Manages overall system data
RFID pallet stacker
Tech-based quality
Workflow example
Sorted outputsamples
Random incomingsamples
Sorted inputsamples
WASP® WASPLab® incubators
WASP-FLO™
Connecting WASPLab® to LIS and other instruments, MicroHub® represents the next step into a new way of managing
lab data.[d] Think of it as middleware, handling patient data, test orders, results, and the entire lab workload in
real-time. MicroHub® is the perfect tool to centralize the final validation step and keep lab's productivity under control.
Enhances the validation
process boosting data
accessibility and integrating
mass-operation features
Apply custom laboratory rules
for the automatic result
validation
Includes communication
drivers for all laboratory
platforms
Advantages
MicroHub®
Microbiology string
Microbiologystring
Patient demographics
Ongoing, completed, and historical process
Validation hub
Patient-related filters
Test-related filters
Filtered worklist
Customizable dashboard
Data categorization
Status and workload
Tech-based quality
Focus on your needs
MicroHub® is your patient-centric interface.
In the Validation Page, you can access all the patient
data to validate results, keep track of ongoing processes,
and avoid expensive repetitions.
The Advanced Search page is the ideal representation of
MicroHub®’s flexibility. Depending on your goal and
access rights, you land to the data you are interested in
just a few clicks.
The Activities Management page lets you track the
laboratory's real-time performance and workload,
highlighting data you choose as indicators of your
priorities.
Administration
Turnaround times
Lab automation workload
Test order statistics
Reimbursement data
Microbiologist
Worklist
Real time results
Patient historical results
Check in and test order validation
Lab manager
Turnaround times
Workflow statistics
Lab automation workload
Notes
To grant the reliability of results and allow the instruments safe and correct functioning, spare parts and technical support must be provided by Copan (or its
authorized distributors). Any third party's containers, culture plates and consumables to be used on the instruments must be approved in writing by Copan.
Limitations may apply: Please refer to Copan's o�cial technical documentation.
The WASPLab® imaging system is patented (AU2014259028B2, JP6460421B2, IT1417398) and patent pending (EP2989470A1, US2016083686A1).
Subject to final reporting performed by qualified personnel.
Product not yet commercially available.
Plate compatibility and strain compatibility are in continuous development. Please contact Copan for the latest updates.
to which the systems described in this brochure contribute
[a].
[b].
[c].
[d].
[e].
Please consult Copan for the availability of these products in your Country
Scientific references
All the independent studies we cited in this product focus are listed here.
1. Zaninotto M, Plebani M. The "hospital central laboratory": automation, integration and clinical usefulness. Clinical Chemistry and Laboratory
Medicine, 2010.
2. Hoi-Ying Elsie Yu, Harold Lanzoni, Tracy Ste�en, et al. Improving Laboratory Processes with Total Laboratory Automation. Laboratory Medicine, 2019.
3. Jonathan R Genzen, Carey-Ann D Burnham, Robin A Felder, et al. Challenges and Opportunities in Implementing Total Laboratory Automation.
Clinical Chemistry, 2018.
4. Karissa Culbreath, Heather Piwonka, John Korver, et al. Benefits Derived from Full Laboratory Automation in Microbiology: a Tale of Four
Laboratories. Journal of Clinical Microbiology, 2021.
5. A. Cherkaoui, G. Renzi, N. Vuilleumier, et al. Copan WASPLab automation significantly reduces incubation times and allows earlier culture readings
Clinical Microbiology and Infection, 2019.
6. Stefano Mancini, Kim Röthlin, Elias Bodendoerfer, et al. Tentative breakpoints and areas of technical uncertainty for early reading automated disc
di�usion for Enterobacterales. Journal of Antimicrobial Chemotherapy, 2020.
7. Justin Baker, Karen Timm, Matthew Faron, et al. Digital image analysis for the detection of Group B Streptococcus from ChromID StreptoB Media
using a PhenoMatrix Artificial Intelligence Software Algorithm. Journal of Clinical Microbiology, 2020.
8. Tam T. Van, Kenneth Mata, Jennifer Dien Bard. Automated Detection of Streptococcus pyogenes Pharyngitis by Use of Colorex Strep A CHROMagar
and WASPLab Artificial Intelligence Chromogenic Detection Module Software. Journal of Clinical Microbiology, 2019
This document may contain product information otherwise not accessible or valid in your country. Please be aware that Copan Wasp s.r.l. does take any responsibility for accessing such information which may not comply with any valid legal process, regulation, registration or usage in the country of your origin. Product clearance and availability restrictions may apply in some Countries. Please refer to Copan website (www.copangroup.com) to view and/or download the most recent version of the brochure. This document is mainly intended for marketing purposes, always consult product insert for complete information.The use of these products in association with diagnostic kits or instrumentation should be previously validated by the user. ©2021 Copan Italia. All rights reserved. The trademarks mentioned herein are property of Copan Italia S.p.A.Code: MMWB-GEN04 Rev.00 Date 2021.06
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